| NPI | 1720289010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2007016087) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: MO 2007016087) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MO 2007016087) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2016-04-01 |